功能性电刺激对腰椎间盘突出症术后治疗作用的研究  

Effect of Functional Electrical Stimulation on Postoperative Treatment of Lumbar Disc Herniation

作　　者：王文娟[1] 赵晓晨[1] 王维[1] 

机构地区：[1]辽宁医学院附属第一医院康复科,辽宁锦州121000

出　　处：《中国医科大学学报》2015年第12期1087-1089,共3页Journal of China Medical University

基　　金：辽宁省科技厅社会发展课题(2012408002)

摘　　要：目的探讨功能性电刺激（FES）对腰椎间盘突出症术后残留神经功能损害的治疗作用。方法选取腰椎间盘突出症术后有残留神经功能损害的患者60例。患者自愿参加本次研究并签署知情同意书。随机分为FES组、对照组。2组给予相同的基础治疗，FES组术后第l天开始采用FES治疗仪治疗，治疗频率35Hz、0．28ms，强度为患者最大耐受，每天治疗1次，每次30min，共4周。对照组在研究期间不接受任何电刺激。观察术后2组患者患肢拇趾背屈肌力、JOA评分的变化。结果治疗2周后，FES组的肌力为15．10±5．03，与对照组（12．03±6．30）比较差异有统计学意义（P〈0．05）；4周后FES组肌力为20．43±5．73，比对照组（14．57±7．17）明显增强，差异有统计学意义（P〈0．05）。治疗4周后，FES组的JOA评分为24．63±1．91，较对照组（19．87±2．33）高，差异有统计学意义（P〈0．05）。结论经过2～4周的功能性电刺激治疗，FES组的拇趾背屈肌力明显改善；并且术后第4周的JOA评分FES组明显高于对照组；提示功能性电刺激治疗腰椎间盘突出症术后残留神经损害有确切的疗效，是值得推广的有效方法之一。Objective To investigate the efficacy of functional electrical stimulation （FES） on the postoperative treatment of lumbar disc hernia- tion. Methods Informed consents were obtained from all the subjects before the study. Totally 60 patients who had remnant nervous lesion after sur- gery of lumbar disc herniation were divided into two groups ： FES group and Control group. FES group received treatment since the first day after sur- gery. The parameters of therapeutic apparatus were as follows ： 35 Hz, 0.28 ms, 1 time daily and 30 min each time. The intensity of the treatment was the maximum tolerated that the patients can take. The course was 4 weeks. The control group during the study did not receive any stimulation. The myodynamia of hallux dorsiflexion and JOA score of patients were recorded and analyzed. Results After 2 weeks treatment, the myodynamia of FES group was 15.10±5.03, which was significantly larger than that of the control group at 12.03±6.30 （P 〈 0.05 ）. After 4 weeks treatment, the myody- namia of FES group was 20.43 ±5.73, which was significantly larger than that of the control group at 14.57±7.17 （P 〈 0.05 ）. After 4 weeks of treat- ment, the JOA score of FES group was 24.63± 1.91, which was significantly higher than that of the control group at 19.87±2.33 （P 〈 0.05 ）. Conclu- sion After 2-4 weeks of functional electrical stimulation therapy, myodynamia of hallux dorsiflexion in FES group was significantly improved. And at the 4th week after operation, JOA score was more higher than that of the control group. Functional electrical stimulation in the treatment of remnant nervous lesion after postoperative of lumbar disc herniation has exact curative effect, which is worthy of popularization.

关 键 词：腰椎间盘突出症 术后 神经损害 功能性电刺激 

分 类 号：R651.3[医药卫生—外科学]